Sinha S, Sharma D C, Miri B, Gupta V, Chattopadhyay T K
Department of Surgical Disciplines, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Trop Gastroenterol. 1997 Jul-Sep;18(3):134-5.
Isolated splenic abscess is a rarity and remains a diagnostic dilemma. The presentation is nonspecific and diagnosis is often delayed. We present a case which had roentgenographic signs suggestive of splenic suppuration at admission. Of particular interest was the isolation of Salmonella paratyphi in this patient. Antibiotic therapy alone is insufficient and splenectomy remains the treatment of choice. The literature on splenic abscess is briefly reviewed.
孤立性脾脓肿较为罕见，仍然是一个诊断难题。其临床表现不具特异性，诊断往往延迟。我们报告一例患者，入院时影像学表现提示脾化脓。该患者分离出副伤寒沙门氏菌尤其值得关注。仅用抗生素治疗是不够的，脾切除术仍是首选治疗方法。本文简要回顾了关于脾脓肿的文献。
